Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassidy Gilmore, DPT

Individual provider Physical Therapist · NPI 1457192353

Cassidy Gilmore, DPT is a Physical Therapist in Private Practice in Roanoke, Virginia. Qualified in 2024, 2 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2033 Colonial Ave SW Ste 138
Roanoke, VA 24015-3210
Phone: (540) 466-3981
Fax: (540) 739-7476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 935 Fairystone Park Hwy, Stanleytown, VA 24168-3014 — (276) 622-3636

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305216442 (VA)

Record details

NPI number1457192353
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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